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Cord compression from hemangioblastoma

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Cord compression clinically. Known Von Hippel-Lindau syndrome.

Patient Data

Age: 50 years
Gender: Male

2 x 1 cm enhancing intradural lesion with minor internal cystic change at the level of T2/T3 level, completely effacing the cord.

Kink of the cervicomedullary junction. I believe prior posterior fossa surgery has been undertaken.

Minor cervical spondylosis.

Case Discussion

Thoracic spinal hemangioblastoma with severe cord compression (consistent with VHL).

The patient had prior posterior fossa surgery.

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